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PD-L1 expression combined with immune phenotype is a potential predictor of outcome with PD-1 inhibitor monotherapy in patients with recurrent or metastatic head and neck squamous cell carcinoma.

Oral surgery, oral medicine, oral pathology and oral radiology 2026 Vol.141(5) p. 679-689 Cancer Immunotherapy and Biomarkers
TL;DR In R/M HNSCC, integrating IP with PD-L1 expression may enhance prediction of ICI outcomes and was an independent factor for PFS.
OpenAlex 토픽 · Cancer Immunotherapy and Biomarkers Head and Neck Cancer Studies Ferroptosis and cancer prognosis

Kim DH, Koh J, Ahn JS, Moon J, Kang M, Park G, Lim Y, Ock CY, Jeon YK, Jung KC, Ahn SH, Chung EJ, Kwon SK, Keam B

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In R/M HNSCC, integrating IP with PD-L1 expression may enhance prediction of ICI outcomes and was an independent factor for PFS.

🔬 핵심 임상 통계 (초록에서 자동 추출 — 원문 검증 권장)
  • p-value P = .015
  • p-value P = .018

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APA Dong Hyun Kim, Jiwon Koh, et al. (2026). PD-L1 expression combined with immune phenotype is a potential predictor of outcome with PD-1 inhibitor monotherapy in patients with recurrent or metastatic head and neck squamous cell carcinoma.. Oral surgery, oral medicine, oral pathology and oral radiology, 141(5), 679-689. https://doi.org/10.1016/j.oooo.2025.11.018
MLA Dong Hyun Kim, et al.. "PD-L1 expression combined with immune phenotype is a potential predictor of outcome with PD-1 inhibitor monotherapy in patients with recurrent or metastatic head and neck squamous cell carcinoma.." Oral surgery, oral medicine, oral pathology and oral radiology, vol. 141, no. 5, 2026, pp. 679-689.
PMID 41486033

Abstract

[OBJECTIVE] Programmed cell death-ligand 1 (PD-L1) expression and immune phenotype (IP) are potential predictive biomarkers for immune checkpoint inhibitors (ICIs) in recurrent and/or metastatic head and neck squamous cell carcinoma (R/M HNSCC). This study evaluated the predictive value of combining PD-L1 expression and IP in R/M HNSCC.

[STUDY DESIGN] Forty-one R/M HNSCC patients treated with ICI were included. PD-L1 expression was evaluated using the standardized 22C3 pharmDx assay. IPs were assessed using Lunit SCOPE IO, an artificial intelligence-powered tumor-infiltrating lymphocyte analyzer.

[RESULTS] Thirty-nine patients (95.1%) were classified as PD-L1 positive (combined positive score ≥1). Overall, 27 (65.9%) had desert IP. PD-L1 expression and IP were combined to classify patients into 3 groups: group A, negative PD-L1; group B, positive PD-L1 with desert IP; group C, positive PD-L1 with non-desert IP. The median progression-free survival (PFS) was 1.2 months in group A, 2.1 months in group B, and 12.1 months in group C (P = .015). In multivariate Cox analysis, PD-L1 expression combined with IP was an independent factor for PFS, with a hazard ratio of 0.14 (P = .018) in group C and 0.37 (P = .186) in group B, relative to group A.

[CONCLUSIONS] In R/M HNSCC, integrating IP with PD-L1 expression may enhance prediction of ICI outcomes.

MeSH Terms

Humans; B7-H1 Antigen; Male; Female; Middle Aged; Immune Checkpoint Inhibitors; Squamous Cell Carcinoma of Head and Neck; Aged; Neoplasm Recurrence, Local; Biomarkers, Tumor; Head and Neck Neoplasms; Phenotype; Adult; Treatment Outcome; Prognosis; Retrospective Studies; Aged, 80 and over; Neoplasm Metastasis; Predictive Value of Tests

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